JACOB AUTRY WILSON RBT
NPI 1154187995
Behavior Technician in Eustis, FL

Active since February 27, 2024
437 W ARDICE AVE, SUITE 481, EUSTIS, FL 32726(407) 530-5063 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacob Autry Wilson Rbt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB AUTRY WILSON RBT (NPI 1154187995) is an individual behavior technician in Eustis, Florida, licensed in Florida (BACB1068402) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1154187995
Entity TypeIndividualMale
Primary Taxonomy106S00000X
Provider Legal NameJACOB AUTRY WILSONCredential: RBT
Location Address437 W ARDICE AVE, SUITE 481Eustis, FL 32726-3408
Mailing Address38413 Deerwoods DrEustis, FL 32736-9492 · (352) 617-4616
Sole ProprietorYes
Enumeration DateFebruary 27, 2024
Last NPPES UpdateMay 8, 2024
NPPES CertifiedApril 29, 2024
NPI 1154187995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyBehavior TechnicianBehavioral Health & Social Service Providers
Taxonomy Code106S00000X
License Licensed in FL · BACB1068402
Definition
The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.
437 W ARDICE AVE, Eustis, FL 32726

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
437 W ARDICE AVE
EUSTIS, FL 32726
Behavior Technician
437 W ARDICE AVE, SUITE 481
EUSTIS, FL 32726
Specialist/Technologist (Speech-Language Assistant)
437 W ARDICE AVE, SUITE 481
EUSTIS, FL 32726
Behavior Analyst
437 W ARDICE AVE, SUITE 481
EUSTIS, FL 32726
Physical Therapy Assistant
437 W ARDICE AVE
EUSTIS, FL 32726
Occupational Therapy Assistant
437 W ARDICE AVE
EUSTIS, FL 32726
Occupational Therapy Assistant
437 W ARDICE AVE, SUITE 481
EUSTIS, FL 32726
Behavior Analyst
437 W ARDICE AVE, SUITE 481
EUSTIS, FL 32726

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Wilson's NPI number?

The NPI number for Jacob Wilson is 1154187995. It was assigned to this individual provider in the NPPES registry on February 27, 2024.

Where is Jacob Wilson located?

Jacob Wilson practices at 437 W Ardice Ave Suite 481, Eustis, FL 32726. The listed phone number is (407) 530-5063.

What is Jacob Wilson's specialty?

The primary specialty registered for this NPI is Behavior Technician with taxonomy code 106S00000X.

When was this NPI record last updated?

The NPPES record for Jacob Wilson was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.